中文摘要：

目的运用受益归属分析方法对孕产妇孕前保健服务利用情况进行分析,了解孕前保健服务的受益人群和受益程度。方法于2010年8月根据地域分布在全国抽取山东、河南、甘肃3省,以婴幼儿在42 d-6个月的城市和农村妇女为调查对象,共调查1 945名孕产妇。运用Kakwani指数、利用需要比和集中指数等方法进行受益归属评价。结果孕产妇孕前保健多数服务项目总体上是城市、低经济收入组和高文化程度组的孕产妇受益更多,但在戒烟戒酒服务上受益相当。结论加强对孕产妇孕前保健服务利用受益较少人群的关注,从经济政策支持和健康教育等方面入手,提高低经济收入和低文化程度孕产妇孕前保健服务的利用率,促进利用均等化。

英文摘要：

Objective To analyze maternal pre- pregnancy health care services utilization status by benefit incidence analysis,understand the beneficiaries and the level of benefit. Methods A total of 1 945 rural and urban women whose infants aged from 42 days to 6months were selected from Shandong,He＇nan,and Gansu in August 2010. Kakwani index was used in the study,need ratio and concentration index were calculated to conduct benefit incidence analysis. Results Urban women,the women with low income and the women with high educational level benefitted from maternal pre- pregnancy health care services projects,but in aspects of quitting smoking and drinking,the benefits were almost the same. Conclusion Paying more attention to the women who benefit little from maternal pre- pregnancy care services,providing economic policy support and health education,improving the utilization rates of women with low income and low educational level can promote equality of maternal pre- pregnancy care services utilization.